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Cognizant Named a Leader in Everest Group® Care Management Platforms for Payers PEAK Matrix® Assessment 2025

Cognizant is recognized for strong vision, next-generation platform capabilities and commitment to continuous innovation—including advanced automation, real-time insights and generative AI.

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Care Management Platforms for Payers 2025
Cognizant ranked a Leader in IDC MarketScape U.S. Value-Based Healthcare Analytics Vendor Assessment, 2025

Cognizant has been recognized for offering end-to-end value-based healthcare analytics that integrates AI capabilities—specifically noted for the scalability of the platform, use of AI and automation, interoperability and proven outcomes with measurable value.

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The healthcare segments we serve

Payer solutions

We connect payers and providers to create a frictionless member experience and enable more affordable care.

Provider solutions

Our technology and expertise help providers run their businesses more efficiently and create seamless patient experiences.

TriZetto Unify: For the moments that matter

TriZetto® Unify is a groundbreaking strategy and framework set to transform payer-provider interactions by enhancing transparency, reducing administrative burdens and helping to improve patient care.

With TriZetto Unify, communication becomes faster and is enriched with comprehensive clinical data to ensure positive “moments that matter” when vital care decisions are supported with the best information available.

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Why Cognizant?

Cognizant has unparalleled expertise in enabling payers and providers to keep pace with advancing technology, constantly changing regulations and increasing financial pressures.

We are 80,000 thinkers and doers who have the right technology, services, expertise and scale to help unify healthcare and achieve better outcomes for all.

Cognizant manages 4.4 billion transactions between payers and providers annually, and we’re deeply embedded in 350 major healthcare systems.

We’re committed to leading the industry in innovation with a $1 billion investment in gen AI.

4.4 billion

annual payer-provider transactions

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350+

major healthcare systems

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80,000+

healthcare industry experts

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How we transform organizations like yours

Challenge

Improve claims processing speed and accuracy during growing demand for health services in a manner consistent with the broad data compliance and security requirements of Signature Performance serving a government customer.

Success highlights
  • Achieved a claims auto-adjudication level of 94%, an increase of more than 30%
  • Achieved an accuracy rate of 98% for claims processing
  • Auto-adjudicated over seven million claims in the first year of operation
  • Addressed the government client’s compliance requirements with deployment of the Trizetto® Facets® core administration platform in the Microsoft Azure™ Government cloud
Read the full case study
Challenge

Improve automation for El Paso Health to handle growing claims volumes.

Success highlights
  • Increased market share to 17% through efficient processes
  • Increased claims auto-adjudication rate by 8.7%
  • Increased provider satisfaction scores by nearly 15% with utilization and quality management and 20% with network/coordination of care
  • Achieved 100% automation on reimbursements for complex diagnosis-related group (DRG) contracts
  • Achieved 100% automation of appeals and grievances as well as full compliance with Texas Medicaid regulatory guidelines
Read the full case study
Challenge

Reduce denied health insurance claims and improve collections for MetroHealth.

Success highlights
  • Decreased denials by 30%, translating to $13M in additional revenue over one year
  • Increased average daily collections by 25%
Read the full case study
Challenge

Improve front-end patient access by focusing on up-front payments and prior authorizations for a large US-based health system.

Success highlights

Significant increases in up-front patient collections, accelerating over time:

  • 49% increase in up-front collections in the first six months
  • 304% increase in up-front collections in the first year
Read the full case study

Our partner ecosystem enables tailored solutions

We leverage the 4,850+ product experts in our partner ecosystem to identify and develop the best solutions for your needs, whichever segment you work in.

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Please visit our Cognizant partners page to learn more.

Consistently recognized by top industry analysts

Cognizant continues to be recognized in the IT and healthcare markets by the top healthcare industry analysts.

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Please visit our Cognizant awards page to learn more.

The Health Sciences Innovation Center

Explore groundbreaking solutions, collaborative spaces, and advanced technologies shaping the next generation of health and life sciences.

Learn more about the center

Latest thinking

How payers can get a jump on prior authorization changes

Payers can improve member experiences and streamline compliance by leaning into FHIR® standards and investing now in integration with key providers.

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Think “ecosystem” over “enterprise”—healthcare in the age of patient centricity

Health sciences organizations need to recognize key opportunities and areas of synergy to thrive in a more collaborative and value-based health sciences ecosystem.

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Eight steps to improve health equity

Healthcare organizations can make meaningful progress and build healthier businesses by focusing on access to care.

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Health insurers face the billion-dollar AI question

Payers could claim a healthy share of the $1 trillion-plus we expect generative AI to add to the economy—if they widen their focus beyond cost cutting.

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See all

Leadership

Patricia Hunter-Dennehy

Senior Vice President, Head of Provider/Payvider Business

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Sanjay Subramanian

Senior Vice President and Head of Healthcare Payer Business

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Craig Mengert

Chief Excecutive, Cognizant TriZetto Healthcare Products

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Take the first step

Serving customers by looking forward as well as back is a big promise, but the power of today’s new digital healthcare solutions is vast and growing. Our expertise in healthcare IT services enables us to integrate cutting-edge technology seamlessly into your operations.

Let’s talk about how digital healthcare IT solutions can work for your business.